Agricultural University Social Practice Summary Report

How can we truly realize that "the government pays, the hospital profits, and the farmers have protection?"

On July 12, XX, the investigation on the status quo of rural security in Ya'an City and the propaganda team of the new rural cooperative medical insurance system came to Yaoqiao Town to start our first summer social practice survey. The words of the staff in Yaoqiao Town Government let I am very interested: "Rural medical insurance is like the government pays, the hospital profits, the farmers have to protect." He explained this sentence: rural residents pay 10 yuan a year, of which 8 yuan are deposited in personal households. Another 2 yuan is used for co-ordination of major illnesses. That is, when the residents need to be hospitalized due to illness during the year, the township hospital can reimburse 60% of the medical expenses, the county-level hospitals can reimburse 40%, and the municipal hospitals can reimburse 30%, but The maximum amount of reimbursement is 20,000 yuan. This part of the money is sent out by the government and directly to the hospital. It also reduces the burden of peasants who have no money to be hospitalized. It seems that this is true, the three parties have profited: the government has gained the hearts of the people, the hospital has obtained With the profits, the peasants have obtained personal protection. But in real life, have they truly realized the "three benefits"?

With the above questions, we started the investigation. In the investigation, we got another sentence: the people spend small money, the government gets a small profit. Why do you say this?

Everyone pays 10 yuan a year. It really is not a big amount. Who owns this part of the money? No doubt, it is the government. It is reasonable to say that if farmers need to go to the hospital for medical treatment after paying the money, the government should If you take this part of the money and hand it over to the hospital, it will really reduce the burden on the peasant. But what is the truth?

In the local rural health insurance policy, there is such a provision: only patients can be partially reimbursed if they are hospitalized, and there is no fixed medical point in the local area. This means that only serious illness can enjoy medical insurance, and small things like colds and fevers. Ill, the treatment in the local clinic is not reimbursed. However, looking at the reality of the countryside, we can easily find that most of the people in the year of medical treatment are just a small illness such as colds and fever, in order not to delay the farming, they They all took some medicine at the local clinic, but the money for treating these insignificant diseases was no longer a small amount for them, so in fact, their medical burden was not alleviated. In this regard, the argument that "peasants spend small money and the government wins small profits" is indeed not a hole in the wind.

So how can we make the rural medical insurance work beneficial and truly realize that "the government pays, the hospital profits, and the farmers have protection"?

From the course of our investigation, we found the following problems:

The first is the problem of the policy itself.

We must first affirm the favorable starting point of the national implementation of rural medical insurance policy: let all farmers get benefits and obtain protection. However, regional differences make it inherently limited. It is impossible to achieve regional preferential measures with large gap between rich and poor. The preferential ratio is different. On the other hand, the restrictions on the reimbursement location and the reimbursement method make the target group very few, so in a sense, the essential meaning of the policy is lost.

The second is the problem in the implementation process.

When the policy is uploaded, many times there is only a simple communication. The concern is only how many people have participated in this policy, but they have not been concerned that several people who participated in this policy have received benefits, so They ignored the most critical steps: to inform participants about the meaning of the policy and how to exercise their rights. In this way, the farmer just heard about a policy and then participated, but when they really needed it, they didn’t know what to do. exercise.

The third is the farmers' own problems.

Many farmers usually pay little attention to the government's policies, just follow the trend, then abandon one side, or wait for the offer to come home, and even more feel that they don't need it at home, so don't worry. In the event of an incident, when the sudden illness occurred, it was only a panic, only enough to complain about the high cost of medical treatment, and not knowing that the government’s policy can alleviate his burden.

Starting from these problems, it is not difficult to find the easiest and most effective way to solve the problem:

1. The formulation of national policies should be as close as possible to the local conditions. According to different regions, the gap between the rich and the poor, the awareness of the people, etc., put forward corresponding implementation policies. For the issue of medical insurance, the government should make the reimbursable places small, such as: Strengthen the management of rural clinics, and then give rural clinics the right to reimburse rural health insurance. At the same time, the scope of reimbursement can be more extensive, such as: cold, headache, fever and other small diseases.

2. In the implementation process of uploading and uploading, we must firmly grasp the publicity and ensure that every citizen understands the policies related to their own interests and ensures that every citizen can exercise his rights in an orderly manner when needed.

3. The peasants' awareness has improved. This aspect can be improved by the local government. For example: 1. Strengthen publicity. 2. Hold peasant meetings. 3. Implement peasant collective training.

I believe that as long as we can achieve the above aspects, our investigation will not reveal so many people who feel so sad and saddened. The sentence "Government pays, hospital profits, farmers protect" can also make the people Recognition.